Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Germany.
Eur J Gen Pract. 2012 Jun;18(2):86-91. doi: 10.3109/13814788.2012.675504. Epub 2012 May 1.
Primary care physicians are positioned to play an important role in changing physical activity and other health behaviour of their patients. However, little is known about the practice of physical activity promotion in German primary care settings and the factors associated with physical activity promotion.
260 randomly selected physicians from the State Medical Association of Baden-Wuerttemberg, Germany, took part in this survey (response rate: 13.3%) and provided data on physical activity promotion (physical activity assessment and advice), attitudes towards health promotion and cooperation activities. Factors associated with physical activity promotion were identified using logistic regression.
The physicians who replied had positive attitudes towards health promotion. However, 26.9% reported they had inadequate knowledge to provide counselling and 36.7% felt they were unsuccessful in motivating their patients to increase physical activity. Physical activity assessment and advice occurred in 54.9% of the physicians. Compared to their counterparts, physicians in large cities (odds ratio (OR) 3.93; and 95% confidence interval (95%CI): 1.55-9.99), those convinced to offer their patients a great deal in the way of lifestyle counselling (OR 1.92; 95%CI: 1.09-3.40) and those cooperating with sports clubs (OR 1.75; 95%CI: 1.03-2.96) were more likely to provide physical activity promotion.
There is a need for interventions to increase the frequency of physical activity promotion by primary care physicians. In particular physicians in rural regions should be assisted and cooperation activities with sports clubs or other health care providers should be encouraged.
初级保健医生在改变患者的身体活动和其他健康行为方面发挥着重要作用。然而，对于德国初级保健环境中身体活动促进的实践以及与身体活动促进相关的因素知之甚少。
德国巴登-符腾堡州医学协会随机抽取了 260 名医生参与这项调查（回应率：13.3%），并提供了关于身体活动促进（身体活动评估和建议）、对健康促进的态度以及合作活动的数据。使用逻辑回归确定与身体活动促进相关的因素。
回答问题的医生对健康促进持积极态度。然而，26.9%的医生报告说他们缺乏提供咨询的知识，36.7%的医生认为他们在激励患者增加身体活动方面不成功。54.9%的医生对患者进行了身体活动评估和建议。与同行相比，大城市的医生（比值比（OR）3.93；95%置信区间（95%CI）：1.55-9.99）、那些认为自己可以为患者提供大量生活方式咨询的医生（OR 1.92；95%CI：1.09-3.40）以及与体育俱乐部合作的医生（OR 1.75；95%CI：1.03-2.96）更有可能提供身体活动促进。
需要采取干预措施，增加初级保健医生促进身体活动的频率。特别是应协助农村地区的医生，并鼓励与体育俱乐部或其他卫生保健提供者开展合作活动。
